Provider Demographics
NPI:1124991054
Name:THERAPHYSICAL LLC
Entity type:Organization
Organization Name:THERAPHYSICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCZEK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-277-3911
Mailing Address - Street 1:623 RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071
Mailing Address - Country:US
Mailing Address - Phone:201-340-4656
Mailing Address - Fax:201-340-4580
Practice Address - Street 1:1030 MCBRIDE AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424
Practice Address - Country:US
Practice Address - Phone:973-339-9913
Practice Address - Fax:973-339-9914
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPHYSICAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty